Livengood Wellness Corporation

Primary specialty

OptometristTaxonomy code 152W00000X

License

18001715B Issued in IN

Legal business name

LIVENGOOD WELLNESS CORPORATION

Practice address

2851 Wolverine Way
Zionsville, IN 46077-8834

Phone

(317) 531-7077

NPI assigned

May 8, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

James J Livengood

Title

President

Phone

(317) 531-7077

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1462665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462665600000",
    "number": "1164878203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2851 WOLVERINE WAY",
            "city": "ZIONSVILLE",
            "state": "IN",
            "postal_code": "460778834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2851 WOLVERINE WAY",
            "city": "ZIONSVILLE",
            "state": "IN",
            "postal_code": "460778834",
            "telephone_number": "317-531-7077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVENGOOD WELLNESS CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-08",
        "last_updated": "2016-05-08",
        "status": "A",
        "authorized_official_last_name": "LIVENGOOD",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-531-7077"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18001715B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Zionsville, IN
• Providers in Zionsville, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.